School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia.
Occupational Therapy Department, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Aust Occup Ther J. 2021 Oct;68(5):374-383. doi: 10.1111/1440-1630.12734. Epub 2021 May 9.
Up to one third of people with head and neck cancer undergoing radiation therapy experience mask anxiety. However, there is limited literature guiding the role of health professionals, including occupational therapists, in managing mask anxiety. This study aimed to explore the content of occupational therapy interactions with people who have identified mask anxiety.
A cohort of 20 participants with identified mask anxiety engaged in semi-structured interviews with occupational therapists. Theoretical thematic analysis and the framework provided by the Canadian Model of Occupational Performance and Engagement (CMOP-E) were employed to explore the content of occupational therapy interactions with people experiencing mask anxiety.
Theoretical thematic analysis identified 13 relevant themes with 49 codes relating to the interaction between participants and occupational therapists. Analysis of these interactions identified the occupational therapy role to be holistic and multifaceted. The cognitive, affective, and institutional components of the CMOP-E were dominantly explored by the occupational therapists with participants. Occupation, spirituality, and the cultural environment were either not addressed or minimally discussed with participants.
The management of mask anxiety during radiation therapy is a novel area of practice for occupational therapists. The results of this study suggest that the occupational therapy profession explores a range of factors with the person undergoing radiation therapy with mask anxiety, and that the CMOP-E model can be used to guide these interactions. Future research is required to further define this role and its efficacy in managing mask anxiety.
多达三分之一接受放射治疗的头颈部癌症患者会经历面罩焦虑。然而，关于健康专业人员（包括职业治疗师）在管理面罩焦虑方面的作用，文献有限。本研究旨在探讨职业治疗师与已识别出面罩焦虑的人互动的内容。
一组 20 名有面罩焦虑的参与者与职业治疗师进行了半结构化访谈。采用理论主题分析和加拿大职业表现和参与模式（CMOP-E）提供的框架，探讨与经历面罩焦虑的人进行职业治疗互动的内容。
理论主题分析确定了 13 个相关主题，涉及 49 个与参与者和职业治疗师之间互动相关的代码。对这些互动的分析表明，职业治疗师的角色是全面和多方面的。CMOP-E 的认知、情感和制度成分主要由职业治疗师与参与者一起探讨。职业、精神和文化环境要么没有得到解决，要么与参与者讨论得很少。
在放射治疗期间管理面罩焦虑是职业治疗师的一个新实践领域。本研究的结果表明，职业治疗专业探讨了与佩戴面罩接受放射治疗的人相关的一系列因素，并且 CMOP-E 模型可用于指导这些互动。需要进一步研究来进一步确定这一角色及其在管理面罩焦虑方面的功效。
